Accelerated idioventricular rhythm associated with hyperkalemia and hypocalcemia. (Turkish)

The idioventricular rhythm (IVR) is an ectopic escape rhythm that occurs when depolarisation rate of a normally suppressed focus increases to above that of the "higher order" focuses such as the sinoatrial node and the atrioventricular node. The escape rhythm of ventricular origin is termed idioventricular rhythm. Such rhythm generally exhibits a ventricular rate slower than 30-40 beats per minute (bpm). When the rate is faster than 30-40 bpm, the rhythm is called an accelerated idioventricular rhythm (AIVR). In this sudy, we report a case of an accelerated idioventricular rhythm in elder woman who presented with sensory loss in our emergency department and related to the rare etilogy such as hyperkalemia and hypocalcemia. [ABSTRACT FROM AUTHOR]

İdiyoventriküler ritim, sinoatrial düğüm veya atrioventriküler kavşak gibi uyarı çıkaran daha yüksek merkezler ventrikülü uyarmada yetersiz kaldığında ortaya çıkan ve hızı 30-40 atım/dakikanın altında olan ektopik kaçış ritmidir. Hız 30-40 atım/dakikanın üstünde olduğu zaman akselere idiyoventriküler ritim denir. Biz bu yazıda şuur bulanıklılığı şikâyetiyle acil servisimize başvuran, akselere idiyoventriküler ritim tanısı konulan ve etiyolojisinde nadir olarak görülen, hiperkalemi ve hipokalsemi tespit ettiğimiz yaşlı bir kadın olguyu sunuyoruz. [ABSTRACT FROM AUTHOR]

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